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Organization

MULLAPUDI MEDICAL LLC

Active
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Organization

MULLAPUDI MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJENDRA P MULLAPUDI M.D. (OWNER)
(630) 926-5409
Entity
Organization

Contact information

Practice address
2S607 VENDOME AVE, OAK BROOK, IL 60523-1073
(630) 926-5409
Mailing address
2S607 VENDOME AVE, OAK BROOK, IL 60523-1073
(630) 926-5409

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119143
IL

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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